Provider Demographics
NPI:1174921456
Name:UNIVERSAL IMAGING COMPANY INC
Entity type:Organization
Organization Name:UNIVERSAL IMAGING COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDOROVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-513-1477
Mailing Address - Street 1:2407 EAST 23RD STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-648-2400
Mailing Address - Fax:718-648-3100
Practice Address - Street 1:2407 EAST 23RD STREET
Practice Address - Street 2:SUITE B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-648-2400
Practice Address - Fax:718-648-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty